Three California-based health plans – Aetna, Blue Shield of California and Health Net – have come together to implement a shared value-based payment model under the California Advanced Primary Care Initiative’s Payment Model Demonstration Project.
The American Hospital Association and several physician groups are urging Congress to reject cuts to Medicaid in the proposed budget resolution. The AHA said even a small portion of the proposed cuts would destabilize hospitals and health systems.
The biggest takeaway from a HIMSS25 session looking at the sector is the benefit derived from having a shared model, says AJ Paraon, project specialist informaticist at Mayo Clinic.
Humana’s financial results for Q4 and for full-year 2024 show a 10% revenue increase, but that’s about the only bright spot as the insurer was hit by significant losses, according to its Q4 earnings results. Rising healthcare utilization and insufficient CMS rate increases have impacted Humana’s profitability, with shares down 50% from their 2023 peak, […]
Mass General Brigham plans to lay off hundreds of non-clinical employees due to a $250 million financial loss within the next two years, in what the health system calls a “gap of a quarter of a billion dollars.”
CVS Health’s profits took a dip year-over-year, with the company reporting $1.6 billion in profits in Q4 2024, down from the $2 billion it brought in at the end of 2023. Profits for the full year hit $4.6 billion – a sizable hit from the $83 million in profit CVS earned the year before, according […]
A proactive and scalable technology model would refocus attention on patient care says HIMSS25 Smart Health Transformation Forum committee members Esther Kim of Mass General Brigham, Kali Arduini Idhe of Northwestern Medicine and Marcee Chmait of Providence.
Kaiser Foundation Health Plan & Hospitals reported revenue of $115.8 billion for 2024, a gain from the $100.5 billion reported in 2023.
Basing payment on clinical outcomes rather than the volume of service is increasingly common among medical practitioners, yet value-based reimbursement is less common among mental health practices. According to a new paper published by Evernorth, a Cigna subsidiary, value-based care in mental healthcare should be more common, and providers should be making the switch.
Should the proposed rule be finalized, providers, health plans and healthcare clearinghouses would need to strengthen cybersecurity protections to ensure individuals’ privacy, says Eric Avigdor, chief product officer of Votiro.